DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SOO TAE PARK, DDS

Active Sole Proprietor

MR. SOO TAE PARK, DDS is a Dentist healthcare provider located in LANCASTER, California. NPI 1124084728 is currently active in the NPPES registry. Verify at CMS.

Dentist · LANCASTER, CA

Registration Details

NPI Number
1124084728
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2006 (20.270563946772 yrs)
Last Updated
Oct 9, 2013
License
33967 (CA)
Sole Proprietor
Yes

Practice Information

Address
44841 N 10TH ST W
LANCASTER, CA, 93534
Browse CA providers · Browse ZIP 93534
Phone
6619481655
Fax
6619409636
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LANCASTER, CA

Name Credential NPI
MR. STUART S MAC PHERSON DDS 1205891660
MR. ERIC MINORU WADA DDS 1932218724
DR. CAMERON HEYDARI DDS 1427159748
EDWARD DELMAR BAKER D.D.S. 1518058023
MOHAMMAD BUSTATI DDS 1174612154
DR. MITCHELL AARON WECHSLER DDS 1124105929
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.